MEDICARE: MEDTRAN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1801269634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDTRAN LLC

Provider Business Mailing Address
First Line	:	PO BOX 668
Second Line	:
City	:	COEUR D ALENE
State	:	ID
Zip	:	83816-0668
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1312 N MONROE ST
Second Line	:	SUITE F-183
City	:	SPOKANE
State	:	WA
Zip	:	99201-2623
Country	:	US
Telephone Number	:	800-550-3782
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JACOB BARNES
Credential	:
Telephone Number	:	208-209-3592

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	11/02/2015

Similar Medicare Providers

1073057865 — MICHELLE JEANETTE EVELAND MSW, LICSW, CMHS
Practice Location Address:

1312 N MONROE ST # 115
SPOKANE, WA
99201-2623

Practice Phone: 509-329-8413
Practice Fax:

1699735787 — SANDRA BROOKE LMHC
Practice Location Address:

1312 N MONROE ST
SPOKANE, WA
99201-2623

Practice Phone: 509-808-4642
Practice Fax:

1619164597 — ROSANNE PUTNAM MSW, CSW
Practice Location Address:

1312 N MONROE ST , SUITE 241
SPOKANE, WA
99201-2623

Practice Phone: 509-954-0184
Practice Fax:

1427226505 — KARIN DELIA POTTER MA, LMHC
Practice Location Address:

1312 N MONROE ST STE 139
SPOKANE, WA
99201-2623

Practice Phone: 406-855-8261
Practice Fax: 509-744-3055

1639580111 — AVANTE HUMAN SERVICES AND ADVOCACY PROJECT LLC
Practice Location Address:

1312 N MONROE ST STE 305
SPOKANE, WA
99201-2623

Practice Phone: 509-214-2800
Practice Fax:

1912496035 — ASCEND NETWORK CORP
Practice Location Address:

1312 N MONROE ST STE 271
SPOKANE, WA
99201-2623

Practice Phone: 208-718-2528
Practice Fax: 509-232-5547

Directions to “MEDTRAN LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.